Edwards-Ebanks Residential Services, LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

EDWARDS-EBANKS RESIDENTIAL SERVICES, LLC

Practice address

710 43Rd St
West Palm Beach, FL 33407-3851

Phone

(561) 459-0578

NPI assigned

Jun 16, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lorna Ebanks

Title

MGR

Phone

(561) 459-0578

Specialties & licenses 4

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1447600747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2264 SW MANELE PL",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908817",
            "telephone_number": "561-459-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 43RD ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073851",
            "telephone_number": "561-459-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS-EBANKS RESIDENTIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "EBANKS",
        "authorized_official_first_name": "LORNA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-459-0578"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward J Penza
• Maria Estela Edward
• Yennis Edwards Barrera
• Edwards Support Services LLC
• Edwards Support Services, LLC
• Tonya S Edwards-Wright
• Allyson Edwards
• Chauntoyia Janae Lavette Edwards, NBHWC, CPSS
• Diane Edwards
• Esme Edwards

• Developmental Disabilities Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.